HomeMy WebLinkAbout05-03-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of m f} ry X f~.c..h 14 r-t
also know;nas/'t-''f.l Pe cJ, 141'"" ~
Deceased.
Social Security No. / ~&, -3 l./ ~ 0 S-.;)../
No.
To:
7J~05-4lL
Register of Wills for the
County of in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who islare 18 years of age or older, appl
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in C urn 6 e r- /.,; III cI . County, Pennsylvania, with
he, lastfamilyorprincipalresidenceat IS> Sn-Am r:nvr-eh Radd... L.:/-#S-3./J
(list street, number and municipality) (YJe c. h I ~ 7o.a-
.~ :JCJaj-
,...,. ,
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ pc) (). 0 0
$
$
$
Petitioner_ after a proper search ha_ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name
drer /J1 hef e
w~.a
A... 'W-/
..r
./
./
./ ~O~iOner(S) respectfully request(s)
appropriate form to the undersigned.
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Register of Wills of Cumberland County
RENUNCIATION
E'mreof'M~~. ~
Also known as U L
, deceased
No. 1..1 - 0 5 - 4 {L
To the Register of Wills of Cumberland County, Pennsylvania
Theundmigoed '1Tl~ ~ ~
(N e) (Re onship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
be issued to L ureA/c... J PA,l! yiM
k Witness my/our hand(s) this J.5~ day of a.pr; I
..j d~,,~4 e, '-777a-cM_
! . U (Signature) c:r--
~ &/~-7 J4CVL~ (f)~ ~
~cJJ~(A:?ll ~3Flj
, 20.a5
Affirmed and subscribed befre me this
I ~day of tJ.p ri ,
:~~
My Commission Expires:
'7/~/DX
I I
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
.................................
BETrY KENNEY
_ CoIMllJDG03I1tI4
. . --,-
......
..... III
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Register of WIlls of Cumberland County
RENUNCIATION
E"ate nf 1Y\~;t: L ~
^",o known " -_ ~ :r: . . ...-r
No. 21 -- 0 5 - 4 / L
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned uct e.- r ..5
(Nam (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that".
Letters
beissuedto LurrZ/lJa... 0, ''H,I/I.~<;
,
Witness my/our hand(s) thi;jC) day of ~\ \
,2cQ5
( :-J
C')
ed~O~~fOre~ilii', f~~ 7lW Ii
n ~ (Address)
--
My Commission Expires:
oL\OtlOD
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
COMMONWEALTJ-' OF PENNSYLVANIA
Notarial Seal
,. Jennit~r N. Grove, Notary Public
Silver Spnryg!-'wp., Cumberland County
My Co~mlsslOn Expires Jan. 28, 2008
~\jlp......~r-~' ry.,.""'....,,l,,"'.".r :.~,~__.'"fo;,...~ nf t\!'1tarie!=i
l~\
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Register of Wills of Cumberland County
RENUNCIATION
&tate of'" ((l(}~ ~c. h",~
Alsoknownas~ _r\~.?PC' ~rt:
, deceased
LI-OS-1/2.
No.
To the Register of Wills of Cumberland County, Pennsylvania
The undersignedffiv\ VI () i:-h WE{' \rc, c+ ~O r--..
(Name) (Relationship) (Capacity)
ofthe above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
be issued to L U/fVU1 ~ (f-); I' / /1 ia <;;
, I
Jt
Witness my/our hand(s) this / / day of
, 20 ()~
4-pAdJ
~P"N~bl~~-~
(Signature)
1\ ~d.. L ,W?b ~'f'. '-.0 t -iJ ~ 3
vY\..~c ~bjY<A' (Address)
My Commission Expires:
5/:;;'i-/ I 0 '7
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
I----NOTARW. SEAC-~~
I' KRISTYN L. CAWllIERN, Notary Put*
. Hampden Twp.. Oumberland County
L~~.~_m.!.~~:l..~~~~~:,~~ 24:,~7
C,)
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Register of Wills of Cumberland County
RENUNCIATION
Estate of /I'tv'f. I, ~;e;;--
Alsokno;nas /YJ/J.lf f rL~
, deceased
No. 2./ -05-412.
To the Register of Wills of Cumberland County, Pe nsylvania
The undersigned
'-
~I/
be issued to k ~A .:J; '/t-IU"I jJ~
,
Wito"" my/m<< hand(') 11';, / / day O~.dJ i
,20~
Affiied and SU~ribed, brfore me this
~d~Of prl ,
., .~O~
~
No Pu lC
~~.~
(Signature)
~~ ~ . {J.J.. I
t"\' JJ. (Addre~sL
v~ I re..... \"lO\)
My Commission Expires:
€/ :J L/-{ 0 r-r
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
NOTAFIAL SEAl
!@'~~ /." OAWTHERN. Notary PIdc
HMlP@@R TWp,! Ournbeliand County
MY ~miAAioo ~II'ISMarch 24. 2007
-~~-:'~''':':'=.''':~~::~'1''~,,' . I r J. ~_a_ ~
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Register of Wills of Cumberland County
RENUNCIATION
Estate of vY\ 0... r'1 r- ~cJ t'lt"r
Also known as M A rVf X Pe lVhti rt
, deceased
No.
2/-05-112.
To the Register of Wills of Cumberland County, Pennsylvania
Theundersigned l'Y\,'ch ~d L, ~~'\{- 50 N
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
be issued to
Lu,...elV~ ;r- ~,ll, pc:;
Witness my/our hand(s) this ~ day ofA\~)\)\ \ ,2<C:6
flj,f).J)i/l?~
(Signature)
e~;dO}U~\)f\,ore me this
~ J{JJ;d '" J;d.
L ,shuJ"IU K cI /J1~.vc..Y;}V/' 7
. (Address)
My Commission Expires:
olJ8~l0<6
Or
Affirmed and subscribed before me this
_ day of
Register of Wills
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
(Signature)
(Address)
(Signature)
(Address)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Jennifer N. Grove, Notary Public
Silver Spring Twp., Cumberland County
My Commission Expires Jan. 28, 2008
Me:nber. Penn~'!I"'mia Association of l\!ntaries
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s
.
Register of Wills of Cumberland County
RENUNCIATION
Estate of (filii< y I ffq!Laft.
Also known as In If1<J :.t-.. PeL'-11 CLrC~
, deceased
21-,05-11L
No.
To the Register of Wills of Cumberland County, Pennsylvania
Theunder.<igned ~~ A{J-L- ,~lil~-
, (Name) (Relations . (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) tIlaf,
Letters
be issued to
ketl~ J 1/ul/;f)5
,
Witness my/ourhand(s) this II #7daYOf A p/lL
,20~
r ODd ~ before me this
I day of I I
5
My Commission Expires:
3j :;,Lf , 0'1
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
. 'r, ....,.~' .....~
I .. NOTARIAL SEAL","d'
I KRISfYN l. CAWTHERN. Notary Pufjjc
I Hampden Twp., Cumberland Counly
l~.':7.'~r~~oll:~~~.~.~~:.~~.
7CJ9D
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'.
Register of Wills of Cumberland County
RENUNCIATION
Estate of j14ALc.f I. ~ae:r-
Alsoknownas lUtJ-tlf;:r ~
, deceased
No. 21 - 0 5 - 4/2.
To the Register of Wills of Cumberland County, P nnsylvania
. ~ <"
The undersigned jAw/2a.JCC tJ. ...~::Jr. -> ON .
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
,L~IUOJ .L
-:7 ya /U/ ~5 ,
/ '
day of ~R.-/L
5"
,2oL.
(Signature) .....-/1
Ile~ &OQ!lL, f:4 l'5Od-.5
(Address)
be issued to
Witness my/our hand(s) this
II
ed and smbe~ pefore me this
day of n I
lIS- ~
,~ "
-~,.. ?
My Commission Expires:
~[~~/ D1
(Signature)
i J"'j
Or
(Address)
c...~.)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
- NOTARiAL sEAL ~
KRtSTVN L CAWlltERN, Notary Putjc
Hampden Twp., Cumberland County
, My Comm!ssIM_~!!".Meroh~,.~ .
'...........-._k~..;'.... ,._~" ,.' _.-,""'"
H 105.805 REV 1105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Regis!rar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
p
11599330
No.
~()~A
Local Registrar ~
c:::;JtLU.lv 2b< ;X 1M')
,
Date
1-1 --05 -1/2
~___~_ .9 ~~d.~.a.S:__._~_~~_.___~
(,/;;
H105143 Rev 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FilE MJMBER
TYPE/PRINT
IN
PERMANENT
BLACK iNK
...
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1.
AGE (Last Birthday)
BIRTHPLACI; (City and
Stale or For84Qn Country)
r.ennsylvania
~:'M 0
RACE - American Indian, BlaC'Jl;. V'vtltte. 81
(Speafy)
,..W hit e
SURVIVING SPOUSE
(lfwife,gionm.llldftlname)
6. 84 Yrs
COUNTY OF DEATH
SEX
2,Fema 1 e
PA
tiC ITAI..:
Inpl1lent iii
I..
FACILITY NAME (If not institution, give street and number)
SOCIAL SECURITY NUMBER
.. 186 34 0521
lb. Duaphi n
DECEDENT'S llSUAl OCCUPATION
(':I:.=:t~~eu~rel~1
I..
11.. 11b.
DECEDENT'S MAILING ADDRESS ( treel, CityfTown. Stale, Zip Code)
.155 Salem Church Road 53
Mechanicsburg PA 17055
16.
17.. I&l Yes. decadent "ved on Ham p den
twp
Ol)'/boto
Hosler
PA
7055
~
~
'~
21.
: Appro>om'"
. Intefval betWe
: onset and death
~
~
Sequentially Itst conditions
if any. leading to il'l'lme<late
caus. Enter UNDERLYING
CAUSE (~sease 0( il1jUl)'
thai initiated events
resultlOg on death) LAST
WAS AN AUTOPSY \'\ERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION Of CAUSE
OF DEATH?
E
\-" ~~
e...
MANNER OF DEATH
DATE OF INJURY
(Monlh,o.y,V...)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
y.sO NO~
YesD
NoD
Accident
SUIcide
Pending InveS%alion
Could not be determIned
D
D -D~D
30a_ JOb. M 3Oc.
o PlACE OF INJURY -.At home, farm. street, factory. ol'lice
buildinll,lIlc{Specify)
....
Natural
II
o
D
Homicide
21.. 28b.
CERTIFIER (Check only one)
"~~~F::aGJ~~~~~~.~:l.s~~:~ c:~gt~dc:tJ: ,':: g.e:~h.:=~~r ,g~~~~.h~~r~~~~.~~~~~~~.~~~~~~.~.I.I~~ .~~)..
D.
"PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certify,ng to cause of death)
To the best of my knowledge, death occurred at the time, d.te, and place. and due to the cauaes(s..nd m.nner as .t.ted....
"MEDICAL EXAMINERlCORONER
On the b..ls of examination .nd/or Inve.tigatlon. In my opinion. de.th occurred ., the time, dat., and pi.ce. and due to Ihe c.uses(a) and
manner .. ....ted.. .
3'..
REG~ . R'SS_;:R(l~~
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~/,tYV\ (3 E1\~D
} ss
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law. .....
Sworn to or affirmed and subscribed J ~ l~
before me this (3 day of c:?'
MAY ~5
~cLu...I'::o.AALU. \.~.l I
I p.RA vm~p Wister l
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N '21-05-04IL
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'fY\A1Z'-{ I-.~&C~T
Estate of
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
05
AND NOW Y\') A '-f 3 ~, in consideration of the petition on
the reverse side hereof, satisfactory proof having bee resented before me,
IT IS DECREED that L. U.R E:1-J A ~ P ~
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Ll.LR1CN A- ..:To ~H-1 ktJ p~
in the estate of YY\ f\1'"Z'i L '-lJE::~T
FEES
Letters of Administration $ 2..(). 00
Short Certificates( \ r . . . . . . . . .. $ 4. DO
Renunciation ":.' ()" . . .Ii . . . . .. $ 35. DO
\J~ "'- fiF $ 1 5. DO
TOTAL _ $ 'l<f.OV
Filed. rX\f\':-l..0.... c;WQ5 A.I>. 19
*
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE